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CLINICAL RESEARCH PRIME
NPI 1124560230
Clinic/Center - Research in Idaho Falls, ID

Active since November 07, 2016CLIA 13D2233937 · Waiver
187 E 13TH ST, IDAHO FALLS, ID 83404(208) 497-0600 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinical Research Prime NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICAL RESEARCH PRIME (NPI 1124560230) is a healthcare organization registered as a research in Idaho Falls, Idaho and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Justin Baker, President, Chief Research Officer, as its authorized official.

NPPES Registry Identity

NPI1124560230
Entity TypeOrganization
Primary Taxonomy261QR1100X
Legal Business NameCLINICAL RESEARCH PRIME
Location Address187 E 13TH STIdaho Falls, ID 83404-5305
Mailing Address187 E 13th StIdaho Falls, ID 83404-5305 · (208) 497-0600
Phone(208) 497-0600
Organization SubpartNo
Authorized OfficialJustin BakerPresident, Chief Research Officer · (208) 497-0600
Enumeration DateNovember 7, 2016
✔ NPI 1124560230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · ResearchAmbulatory Health Care Facilities
Taxonomy Code261QR1100X
License✔ Licensed in ID · M5835
187 E 13TH ST, Idaho Falls, ID 83404
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2233937

Clinical Research Prime Rexburg · Rexburg, ID
Active · expires Aug 25, 2027
CLIA Number13D2233937
Laboratory TypeClinical Research Facilit
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorJeffrey B. Baker
Laboratory Phone(208) 497-0600
Laboratory LocationClinical Research Prime Rexburg420 East 4th North, Rexburg, ID 83440
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING SANCTUARY LLC
Clinic/Center
187 E 13TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0500
JOSEPH LEE ARMBRUSTER MSN, RN, FNP-BC
Nurse Practitioner (Family)
187 E 13TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0500
TAYLOR DREW SMITH MSPH, PA-C
Physician Assistant
187 E 13TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinical Research Prime's NPI number?

The NPI number for Clinical Research Prime is 1124560230. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Clinical Research Prime located?

Clinical Research Prime is located at 187 E 13th St, Idaho Falls, ID 83404. The listed phone number is (208) 497-0600.

What is Clinical Research Prime's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Research, with taxonomy code 261QR1100X.

Does Clinical Research Prime hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2233937) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinical Research Prime was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.